Dates of Project: April 15, 2012 to May 31, 2013
Problem Synopsis: Like other states, New Jersey faced a host of legal, regulatory, and logistical issues as it prepared to implement the requirements of the Affordable Care Act (ACA). Among these were the law’s requirements that most individual and small group insurance plans must cover a series of Ten Essential Health Benefits and the possibility of providing a state-designed Basic Health Program for coverage of low-income individuals not eligible for Medicaid.
Description: The Center for State Health Policy commissioned two reports, one by the Seton Hall School of Law on the legal and regulatory implications of the Ten Essential Health Benefits requirements, and one by Oliver Wyman Actuarial Consulting on the financial implications of a Basic Health Program. Center staff completed their own report on the adequacy of health care resources in the state to satisfy the ACA’s demands.